PLEASE READ BEFORE PROCEEDING: By clicking the Next button I hereby authorize Check Advance, First American Cash Advance, First American Loans, Purpose Financial and Purpose Money and its affiliates to use my personal and confidential information in any manner consistent with the privacy policies which can be viewed by clicking the applicable link at the bottom of this web page. I certify that the information supplied by me is true and correct. I authorize verification of the truthfulness of all information contained herein, including verification of income and banking information. I expressly authorize contact with any person or company identified above to verify any of the above information or to leave a message for me. Any false statement made by me shall be sufficient basis for rejection. I have read and understand the above statements. I acknowledge that this application and any supporting documentation provided with it is the property of Check Advance, First American Cash Advance, First American Loans, Purpose Financial and Purpose Money. I represent that I am neither a current nor a former Advance America, National Cash Advance, First American Cash Advance, First American Loans, Check Advance, Purpose Money, Purpose Financial, or Express Check Advance employee. I attest that I am not a regular or reserve member of the Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or less. Nor am I an Active Guard and/or Reserve member of the military currently serving on active duty or who has served on active duty within the past 180 days, nor am I a spouse, child, or other dependent person who derives more than one-half of my monetary support from a member of the military who is on active duty or has been on active duty within the past 180 days. I certify that I am at least 18 years of age; or I am a resident of Alabama and I am at least 19 years of age; or I am a married resident of Alabama and I am at least 18 years of age. I authorize Check Advance, First American Cash Advance, First American Loans, Purpose Financial and Purpose Money to perform credit checks, searches and/or analysis of data in certain state-required databases, as well as other commercially available and/or proprietary databases, in order to identify consumers who have a record of transactions with certain lending institutions to verify truthfulness or accuracy of my information, and/or to determine whether or not I qualify for an advance.
RESIDENTS OF CO: I understand, that if I qualify, I may select an individual or joint account with First American Cash Advance. UNDER COLORADO LAW, DEFERRED DEPOSIT LOANS MAY BE STRUCTURED TO BE REPAID IN A SINGLE INSTALLMENT OR MULTIPLE INSTALLMENTS. FIRST AMERICAN CASH ADVANCE PROVIDES FOR REPAYMENT IN MULTIPLE INSTALLMENTS ONLY.
RESIDENTS OF OH: Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit-reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
RESIDENTS OF WI: NOTICE TO MARRIED APPLICANTS: No provision of a marital property agreement, a unilateral statement under section 766.59 or a court decree under section 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred. I understand that I may select an individual or joint account with Check Advance, First American Cash Advance, First American Loans, Purpose Financial or Purpose Money (if I qualify) and have voluntarily selected the type of account above.
You warrant that all of the information you have provided to us in this form is true, correct and complete.